Therapists in Monroe County, MI
![Photo of Natalie Colley, LLMSW, LSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/966909c7-079c-4da2-b5a5-0fc5403cf62f/2/320x400.jpeg)
“In a society that says, ‘Put yourself last,’ self-love and self-acceptance are revolutionary.” – Brene Brown. Managing life with mental health can feel quite difficult, overwhelming, and sometimes feel impossible. These are common feelings when dealing with significant life stress. Therapy is a great way to regain your love for life again as well as learn how to make self-love a priority in your life. You are not alone in your journey through life, and I want you to know that I can help. I have worked with a diverse group of people throughout my career, and I hope to help everyone learn that their happiness in life is important.
“In a society that says, ‘Put yourself last,’ self-love and self-acceptance are revolutionary.” – Brene Brown. Managing life with mental health can feel quite difficult, overwhelming, and sometimes feel impossible. These are common feelings when dealing with significant life stress. Therapy is a great way to regain your love for life again as well as learn how to make self-love a priority in your life. You are not alone in your journey through life, and I want you to know that I can help. I have worked with a diverse group of people throughout my career, and I hope to help everyone learn that their happiness in life is important.
![Photo of Jason Berry, MA, LPC, CAADC, Licensed Professional Counselor](https://photos.psychologytoday.com/54adee51-8ff1-4493-8744-8e90b95e7556/2/320x400.jpeg)
Jason Berry
Licensed Professional Counselor, MA, LPC, CAADC
Verified Verified
1 Endorsed
Monroe, MI 48162
If you're struggling in relationships or with anxiety, stress, depression, grief, loss, trauma, or addiction, I can help you. You don't have to cope alone. The knowledge and experience I have gained throughout years of providing counseling has given me the skills and understanding needed to improve the lives of others and create lasting change.
If you're struggling in relationships or with anxiety, stress, depression, grief, loss, trauma, or addiction, I can help you. You don't have to cope alone. The knowledge and experience I have gained throughout years of providing counseling has given me the skills and understanding needed to improve the lives of others and create lasting change.
![Photo of Samantha Beaton, MSW, LLMSW](https://photos.psychologytoday.com/87c270bf-8bc0-4637-9865-06046a17498b/2/320x400.jpeg)
Samantha Beaton
Master Social Worker , MSW, LLMSW
Verified Verified
Lambertville, MI 48144
Not accepting new clients
Desmond Tutu once said, “Hope is being able to see that there is light despite all of the darkness.” It can be difficult to find hope after a difficult or traumatic event. We experience things that can make us feel isolated, hurt, and broken throughout life. I provide evidence-based practices, with the opportunity to incorporate faith-based skills, to meet you where you are at, process through trauma, empower you, and walk with you in your journey of healing.
Desmond Tutu once said, “Hope is being able to see that there is light despite all of the darkness.” It can be difficult to find hope after a difficult or traumatic event. We experience things that can make us feel isolated, hurt, and broken throughout life. I provide evidence-based practices, with the opportunity to incorporate faith-based skills, to meet you where you are at, process through trauma, empower you, and walk with you in your journey of healing.
![Photo of John A Brooks, PsyD, MA, LPC, Counselor](https://photos.psychologytoday.com/3c2c42a7-46cd-11ea-a6ad-06142c356176/7/320x400.jpeg)
I strive to create a comfortable non-judgemental space for clients to explore the issues in which they are struggling with. Providing counseling and psychotherapy for anxiety, depression, chemical use/dependence, and relationship issues to individuals, families, couples, children, and adolescents. I specializes in humanistic and existential therapeutic modalities, employing a person-centered holistic approach My goal for all therapy is for the person to lead a more fulfilling life, whatever that means to them.
I strive to create a comfortable non-judgemental space for clients to explore the issues in which they are struggling with. Providing counseling and psychotherapy for anxiety, depression, chemical use/dependence, and relationship issues to individuals, families, couples, children, and adolescents. I specializes in humanistic and existential therapeutic modalities, employing a person-centered holistic approach My goal for all therapy is for the person to lead a more fulfilling life, whatever that means to them.
![Photo of Kris Karwowski, MA, LLP, Limited Licensed Psychologist](https://photos.psychologytoday.com/1a89490a-8a43-4475-8a04-8631894b2d3d/1/320x400.png)
Now Accepting New Clients! Greetings! The therapy approach I use is eclectic with a primary focus on CBT, person-centered therapy and mindfulness. I strive to provide a supportive, and non-judgmental therapeutic environment. I strongly believe in meeting each person where they’re at on their own personal journey.
Now Accepting New Clients! Greetings! The therapy approach I use is eclectic with a primary focus on CBT, person-centered therapy and mindfulness. I strive to provide a supportive, and non-judgmental therapeutic environment. I strongly believe in meeting each person where they’re at on their own personal journey.
![Photo of Kristi Wandrie-Biundo, L-CMHC, CCATP, Licensed Professional Counselor](https://photos.psychologytoday.com/45f42fc0-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Kristi Wandrie-Biundo
Licensed Professional Counselor, L-CMHC, CCATP
Verified Verified
Monroe, MI 48161
I believe in a non-judgmental, person-centered, positive approach in the counseling relationship, where the client feels comfortable enough to express their feelings and thoughts while examining factors which may be causing them pain, anxiety, or unhappiness. I also believe that individuals have the power within themselves to overcome these personal barriers to attain their full potential. My goal is to support you and give you tools to use along the way, and also in your future. There is light at the end of what may seem a dark tunnel, but together we will work to get you there.
I believe in a non-judgmental, person-centered, positive approach in the counseling relationship, where the client feels comfortable enough to express their feelings and thoughts while examining factors which may be causing them pain, anxiety, or unhappiness. I also believe that individuals have the power within themselves to overcome these personal barriers to attain their full potential. My goal is to support you and give you tools to use along the way, and also in your future. There is light at the end of what may seem a dark tunnel, but together we will work to get you there.
![Photo of Rebecca Lewis, MA, LPC, CAADC, SST, Counselor](https://photos.psychologytoday.com/e1a0cec9-a597-4e06-a9d2-6d3544d19d6d/2/320x400.jpeg)
Straight N Arrow Counseling Service, LLC was established so individuals may explore their thoughts, feelings, worries, hopes, and dreams in a supportive and nurturing environment. I will work with you to develop coping skills to help you tap into your inner strength and motivation and I will help to guide you on the path to your full potential.
Straight N Arrow Counseling Service, LLC was established so individuals may explore their thoughts, feelings, worries, hopes, and dreams in a supportive and nurturing environment. I will work with you to develop coping skills to help you tap into your inner strength and motivation and I will help to guide you on the path to your full potential.
![Photo of Pam Bush, MA, LPC, LSC, NCC, Counselor](https://photos.psychologytoday.com/451349f0-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Betrayal, boring sex, lack of communication, constant fighting and lack of intimacy are problems I have the expertise to treat. Clients leave here with an increased understanding of vulnerabilities and tools to repair their problems. I also see people who are experiencing anxiety and depression. These problems are causing clients anger, frustration, worry and a general sense of I am unworthy and no good.
Betrayal, boring sex, lack of communication, constant fighting and lack of intimacy are problems I have the expertise to treat. Clients leave here with an increased understanding of vulnerabilities and tools to repair their problems. I also see people who are experiencing anxiety and depression. These problems are causing clients anger, frustration, worry and a general sense of I am unworthy and no good.
![Photo of Sharon Jean Ridella-Mehlos, PhD, Psychologist](https://photos.psychologytoday.com/52e39b25-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Through mindfulness, cognitive-behavioral therapy, and other humanistic approaches,I am interested in encouraging individuals to maximize their strengths, helping couples resolve barriers to loving relationships, and helping family become the units that can nurture their members to succeed in this very stressful world. Improving communication, resolving power/control issues and developing assertiveness are all important in resolving interpersonal conflicts. Anxiety and depression are increasingly experienced in today's world. I want to help individuals find ways to beat the odds.
Through mindfulness, cognitive-behavioral therapy, and other humanistic approaches,I am interested in encouraging individuals to maximize their strengths, helping couples resolve barriers to loving relationships, and helping family become the units that can nurture their members to succeed in this very stressful world. Improving communication, resolving power/control issues and developing assertiveness are all important in resolving interpersonal conflicts. Anxiety and depression are increasingly experienced in today's world. I want to help individuals find ways to beat the odds.
![Photo of Beth S Peterson - Milan Christian Counseling, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/3fcb88fc-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Milan Christian Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
Milan, MI 48160
I offer outpatient counseling services to individuals, couples, and families as part of your healing journey. I have training and experience working with a variety of issues, such as depression, anxiety, trauma, domestic violence, self-esteem, conflict, and communication. I am also trained and experienced to integrate the Christian faith for whom this is important.
I offer outpatient counseling services to individuals, couples, and families as part of your healing journey. I have training and experience working with a variety of issues, such as depression, anxiety, trauma, domestic violence, self-esteem, conflict, and communication. I am also trained and experienced to integrate the Christian faith for whom this is important.
![Photo of Rebecca Ann - Healing Works PLLC, MA, LLPC, Counselor](https://photos.psychologytoday.com/901dc846-a3f6-4f74-ab5c-e6626aca912d/2/320x400.jpeg)
I am a faith based therapist, who has been helping people for over 20 years as a Social Worker and Counselor; prior to that I served as a Youth Pastor. While working with general mental health issues, I have specialized in working with recovery related to child abuse issues, in adults and children. Our past experiences do not have to dictate our futures, recovery is more then possible, its available to anyone who seeks it out. I work with multiple therapy modalities to include alternative therapies as well. Sound, Reiki, Art, EFT, and level 1 EMDR are helpful tools for anyone looking to heal from any past trauma.
I am a faith based therapist, who has been helping people for over 20 years as a Social Worker and Counselor; prior to that I served as a Youth Pastor. While working with general mental health issues, I have specialized in working with recovery related to child abuse issues, in adults and children. Our past experiences do not have to dictate our futures, recovery is more then possible, its available to anyone who seeks it out. I work with multiple therapy modalities to include alternative therapies as well. Sound, Reiki, Art, EFT, and level 1 EMDR are helpful tools for anyone looking to heal from any past trauma.
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![Photo of Christie Teem, MS, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/06db44a4-e6a2-425e-88d9-7119d20f5ec5/1/320x400.jpeg)
Christie Teem
Licensed Professional Counselor, MS, LPC
Verified Verified
Carleton, MI 48117 (Online Only)
Hello! My name is Christie and I'm a Licensed Professional Counselor. Inviting someone into your most personal space can be scary, but I am here to help you create the life that you want. My approach to therapy includes a nonjudgmental, Person-Centered approach, with a focus on Cognitive Behavioral, Mindfulness, and Solution-Focused modalities, however, I will tailor my approach to your individual needs.
Hello! My name is Christie and I'm a Licensed Professional Counselor. Inviting someone into your most personal space can be scary, but I am here to help you create the life that you want. My approach to therapy includes a nonjudgmental, Person-Centered approach, with a focus on Cognitive Behavioral, Mindfulness, and Solution-Focused modalities, however, I will tailor my approach to your individual needs.
![Photo of Sarah Ann Woodward, LMSW , C-DBT, Clinical Social Work/Therapist](https://photos.psychologytoday.com/574e8f25-3f1b-4d28-9af1-5de644d2d1da/2/320x400.png)
Sarah Ann Woodward
Clinical Social Work/Therapist, LMSW , C-DBT
Verified Verified
Monroe, MI 48162 (Online Only)
Not accepting new clients
Sarah Woodward LMSW is a 2017 graduate from the University of Toledo. She holds a Masters's Degree in Social Work and has been working with individuals who have been diagnosed with severe and persistent mental illness for the past 6 years. Specializing in DBT Sarah has experience in working with individuals who have anxiety, depression, borderline personality disorder, and bipolar disorder. In regards to her therapeutic approach: "I believe that the most beneficial part of the therapeutic process is the therapeutic relationship, I practice from a person-centered perspective, we are all unique and so I tailor my therapeutic approa
Sarah Woodward LMSW is a 2017 graduate from the University of Toledo. She holds a Masters's Degree in Social Work and has been working with individuals who have been diagnosed with severe and persistent mental illness for the past 6 years. Specializing in DBT Sarah has experience in working with individuals who have anxiety, depression, borderline personality disorder, and bipolar disorder. In regards to her therapeutic approach: "I believe that the most beneficial part of the therapeutic process is the therapeutic relationship, I practice from a person-centered perspective, we are all unique and so I tailor my therapeutic approa
![Photo of Jinave Turner, BS , MS , LLPC, Counselor](https://photos.psychologytoday.com/ada8b92c-0fe8-4dc0-9f32-54ae12e03fc5/1/320x400.jpeg)
Jinave Turner
Counselor, BS , MS , LLPC
Verified Verified
1 Endorsed
Monroe, MI 48162
Waitlist for new clients
Life can be stressful especially when it starts to throw you curveballs like depression, anxiety, PTSD, family stress, or self-esteem issues. The thing that we as humans often forget is, we don’t have to do hard things alone. I strive to bridge the gaps in communication between generations surrounding mental health and self care practices. There is no one size fits all approach to therapy and there doesn’t have to be. I am not here to “fix” you, because you aren’t broken. I am here to help you uncover and embrace the parts of yourself that you may forget to honor.
Life can be stressful especially when it starts to throw you curveballs like depression, anxiety, PTSD, family stress, or self-esteem issues. The thing that we as humans often forget is, we don’t have to do hard things alone. I strive to bridge the gaps in communication between generations surrounding mental health and self care practices. There is no one size fits all approach to therapy and there doesn’t have to be. I am not here to “fix” you, because you aren’t broken. I am here to help you uncover and embrace the parts of yourself that you may forget to honor.
![Photo of Talia Ingham, LLMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/2f9f38f7-3aa8-4e1c-aab9-27d4f463df47/2/320x400.jpeg)
In our busy world it can be challenging to remain grounded in ourselves and in relationships with others. Sometimes we need time to take a step back in order to identify/realign with our values, emotions, and thoughts. My therapeutic approach is directed at understanding, realignment, and continued growth. I provide online counseling for adolescents, teens, and adults.
In our busy world it can be challenging to remain grounded in ourselves and in relationships with others. Sometimes we need time to take a step back in order to identify/realign with our values, emotions, and thoughts. My therapeutic approach is directed at understanding, realignment, and continued growth. I provide online counseling for adolescents, teens, and adults.
![Photo of Signe M Newcomb - Lemontree Counseling Services, LLC, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/3189f4a0-9d75-4494-8708-8c0cb0693008/3/320x400.jpeg)
Lemontree Counseling Services, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Monroe, MI 48161
We offer counseling, support and guidance for children and adults of all ages. If you feel unhappy, overwhelmed, lost, and/or dissatisfied in life you may need someone to talk to and share your concerns with. By tapping into the strengths that they already possess, I help clients work through life experiences that are keeping them from living the life they want to live. This is done in a low-stress, creative and nurturing environment.
We offer counseling, support and guidance for children and adults of all ages. If you feel unhappy, overwhelmed, lost, and/or dissatisfied in life you may need someone to talk to and share your concerns with. By tapping into the strengths that they already possess, I help clients work through life experiences that are keeping them from living the life they want to live. This is done in a low-stress, creative and nurturing environment.
![Photo of Heather Hoffer, LPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/e3085cfa-0dd6-4d78-8d8f-6d7e89d9d592/1/320x400.jpeg)
Welcome! My approach in working with clients is holistic and person-centered. My goal is to provide a safe and judgement free space to discuss your concerns, share your experiences, and work towards your goals. You can expect to be met with a compassionate and empathetic listening ear as we work towards finding balance and resolving concerns. As a therapist, it is my goal to empower clients to make the changes necessary to live authentically. It is my hope that through therapy, clients will build resilience, gain insight and identify coping skills to better equip them to handle life’s challenges.
Welcome! My approach in working with clients is holistic and person-centered. My goal is to provide a safe and judgement free space to discuss your concerns, share your experiences, and work towards your goals. You can expect to be met with a compassionate and empathetic listening ear as we work towards finding balance and resolving concerns. As a therapist, it is my goal to empower clients to make the changes necessary to live authentically. It is my hope that through therapy, clients will build resilience, gain insight and identify coping skills to better equip them to handle life’s challenges.
![Photo of Dr. James Knowles, PhD, Psychologist](https://photos.psychologytoday.com/ca80f380-cd93-4576-aae6-990493adbf8e/1/320x400.jpeg)
If you've never been in therapy or counseling before you may have some anxiety about getting professional help- this is normal. Keep in mind that many of us are nervous when we try new things, especially when we are about to discuss our most private personal problems with somebody. Rest easy, psychologists are well trained to help you and they keep your information confidential. Therapy typically starts by the psychologist asking you what you need help with and then a brief but comprehensive history of your life is gathered. Goals of therapy are defined, and you're off and running.
If you've never been in therapy or counseling before you may have some anxiety about getting professional help- this is normal. Keep in mind that many of us are nervous when we try new things, especially when we are about to discuss our most private personal problems with somebody. Rest easy, psychologists are well trained to help you and they keep your information confidential. Therapy typically starts by the psychologist asking you what you need help with and then a brief but comprehensive history of your life is gathered. Goals of therapy are defined, and you're off and running.
![Photo of Jill Frederick, LLMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/589d010a-7f66-4246-9ce7-4cd799cb79fd/2/320x400.jpeg)
I have experience working with children and families in unique family situations. I can provide educational support and offer interventions through nurturing parenting techniques. I also have experience in the mental heath field with children and adults.
I have experience working with children and families in unique family situations. I can provide educational support and offer interventions through nurturing parenting techniques. I also have experience in the mental heath field with children and adults.
![Photo of Jennifer Kelley, LMSW, CCATP, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ecd0c58d-e549-434f-829d-9f9a16b6c0a7/2/320x400.jpeg)
Jennifer Kelley
Clinical Social Work/Therapist, LMSW, CCATP
Verified Verified
Monroe, MI 48161 (Online Only)
Accepting new clients! Life throws some real tough shit at us, and each of us deals with this in different ways. Are you suffering with anxiety? Depression? General life stressors? Are people expecting you to just snap out of it when you know this shit is not that easy? Life naturally has stressors that are out of our control, but it does not mean we have to suffer through them and stay "stuck" there, right? I know it is heavy, but let's work on making this heaviness a little lighter for you. Sometimes we simply struggle to fight back, and I personally understand that. Let's work together and figure out what works for you.
Accepting new clients! Life throws some real tough shit at us, and each of us deals with this in different ways. Are you suffering with anxiety? Depression? General life stressors? Are people expecting you to just snap out of it when you know this shit is not that easy? Life naturally has stressors that are out of our control, but it does not mean we have to suffer through them and stay "stuck" there, right? I know it is heavy, but let's work on making this heaviness a little lighter for you. Sometimes we simply struggle to fight back, and I personally understand that. Let's work together and figure out what works for you.
See more therapy options for Monroe County
How does your Therapist compare?
Number of Therapists in Monroe County, MI
90+
Average cost per session
$130
Therapists in Monroe County, MI who prioritize treating:
95% | Anxiety |
87% | Depression |
86% | Self Esteem |
82% | Coping Skills |
75% | Grief |
74% | Trauma and PTSD |
72% | Relationship Issues |
Average years in practice
14 Years
Top 3 insurances accepted
92% | BlueCross and BlueShield |
74% | Aetna |
56% | Blue Care Network |
How Therapists in Monroe County, MI see their clients
75% | In Person and Online | |
25% | Online Only |
Gender breakdown
86% | Female | |
13% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Monroe County?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.